Table 1.
Content of the Global Health Education Program Predeparture Orientation at the David Geffen School of Medicine at the University of California, Los Angeles
Session | Component description | Format | Time allotted |
---|---|---|---|
Opening comments | |||
Global Health Education Program leadership team | Welcome and introductions | Didactic with full group | 30 minutes |
Pass out personalized binders and flash drives | |||
Overview of the structure of the day and course objectives | |||
Expectations and professionalism | |||
Director of the Global Health Education Programs | History of UCLA Global Health Education Programs | Didactic with full group | 30 minutes |
Explanation of professionalism and its importance | |||
Review of the UCLA Code of Conduct* | |||
Professionalism in practice—real world examples and lessons learned | |||
Health and safety | |||
Infectious diseases faculty | Prevention of illness/accidents (food, animal, water, and road risks) | Didactic and interactive case-based discussion | 1 hour |
Review of vaccines, antibiotics, antidiarrheal medications, and antimalarial prophylaxis | |||
Occupational and nonoccupational HIV exposures and postexposure prophylaxis | |||
Routine and emergency health care, including evacuation insurance | |||
Introduction to emergency protocol | |||
Logistics: review of orientation materials and academic requirements | |||
Faculty from the Global Health Education Programs | Review predeparture checklist† | Didactic | 1 hour |
Review binder materials | |||
Review site-specific documents | |||
Explain process for obtaining postexposure prophylaxis from UCLA student health | |||
Review emergency protocol | |||
Complete administrative forms (course enrollment, stipend, medical release, and consent for future contact) | |||
Review other forms (photo release, student evaluations from host clinical or research supervisors, and PDO evaluation) | |||
Discuss academic assignments (activated learning blog and development of global health cases) | |||
Discuss assignment for required post-elective feedback session (reflection on experience) | |||
Site-specific break out groups (over lunch) | |||
Faculty from the Global Health Education Programs and medical students or residents with prior experience at the specific site | Brief student presentations on a clinical or research topics relevant to the global site‡ | Small group (3–4 students and 1–2 mentors including faculty plus resident or senior medical student), interactive | 2 hours |
Discussion and review of site-specific logistics (culture, food, working environment, travel logistics, safety, packing and pretravel preparation, and other helpful tips) | |||
Cultural humility and ethics cases | |||
Faculty from the Global Health Education Programs | Brief lecture on cultural humility and ethical challenges of working globally | Small group and full group, interactive case-based discussion§ | 1 hour |
Discussion of 7–9 cases with a focus on ethics and cultural humility | |||
Open discussion of personal experiences of faculty, trainees, and students in ethical and cultural challenges | |||
Wrap-up | |||
Faculty from the Global Health Education Programs | Final comments, summary of day | Didactic | 30 minutes |
Additional questions and answers | |||
Complete PDO evaluations |
HIV = human immunodeficiency virus; PDO = predeparture orientation; UCLA = University of California Los Angeles.
Code of Conduct included in Supplemental Appendix 2.
Predeparture checklist included in Supplemental Appendix 3.
Global health faculty assign each student a clinical or public health topic before the orientation. Each student prepares a 15-minute talk with a handout or Microsoft PowerPoint to share with the group.
Students are divided into groups of three and assigned cases to discuss and present to the full group; discussion moderated by faculty member.